Provider Demographics
NPI:1851731160
Name:FREY, SUNITA MARIE
Entity Type:Individual
Prefix:
First Name:SUNITA
Middle Name:MARIE
Last Name:FREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 ESTUDILLO ST
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-1709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2290 DIAMOND BLVD
Practice Address - Street 2:202
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-8107
Practice Address - Country:US
Practice Address - Phone:925-685-7418
Practice Address - Fax:925-685-7005
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)